Eur J Pediatr Surg 2010; 20(1): 62-65
DOI: 10.1055/s-0029-1216343
Case Gallery

© Georg Thieme Verlag KG Stuttgart · New York

Solid Pseudopapillary Tumor of the Pancreas: Raising Awareness of a not so Rare Pancreatic Tumor Affecting Young Females

E. Yaacobi 1 , Z. Steiner 1 , I. Ashkenazi 2 , B. Kessel 3 , R. Alfici 2
  • 1Hillel Yaffe Medical Center, Pediatric Surgery Unit, Hadera, Israel
  • 2Hillel Yaffe Medical Center, Surgery B Department, Hadera, Israel
  • 3Hillel Yaffe Medical Center, Trauma Unit, Hadera, Israel
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
22. Juni 2009 (online)

Introduction

Solid pseudopapillary tumor of the pancreas (SPT) is a low-grade malignant tumor, which is usually diagnosed in adolescent girls and young women [7]. It comprises 2–3% of all primary pancreatic tumors diagnosed. Few patients will develop lymphatic, hepatic and/or peritoneal metastases [2] [10] [12]. Accurate diagnosis of this unusual tumor is important, because the prognosis after surgical resection is excellent.

Between 2003 and 2006, 41 cases of primary pancreatic tumors were operated at Hillel Yaffe Medical Center (HYMC). Of these, three (7.3%) patients were found to suffer from SPT. We describe these cases here, highlighting important aspects in the management of this tumor, once thought to be rare.

References

  • 1 Aloysius MM, Zaitoun AM, Goddard WP. et al . EUS-guided core biopsy for pseudopapillary tumor of the pancreas.  Gastrointest Endosc. 2006;  63 ((1)) 155-156
  • 2 Brozzetti S, French D, Polistena A. et al . Papillary solid and cystic pancreatic tumor. Genetic prediction factors for malignancy: report of three cases.  Anticancer Res. 2002;  22 ((4)) 2341-2346
  • 3 Cantisani V, Mortele KJ, Levy A. et al . MR imaging features of solid pseudopapillary tumor of the pancreas in adult and pediatric patients.  AJR. 2003;  181 ((2)) 395-401
  • 4 Choi JY, Kim MJ, Kim JH. et al . Solid psuedopapillary tumor of the pancreas; typical and atypical manifestations.  AJR. 2006;  187 W178-W186
  • 5 Choi SH, Kim SM, Oh JT. et al . Solid pseudopapillary tumor of the pancreas: a multicenter study of 23 pediatric cases.  J Pediatr Surg. 2006;  41 1992-1995
  • 6 Dong DJ, Zhang SZ. Solid pseudopapillary tumor of the pancreas: CT and MRI features of 3 cases.  Hepatobiliary Pancreat Dis Int. 2006;  5 ((2)) 300-304
  • 7 Frantz VK. Tumors of the pancreas. In: Atlas of Tumor Pathology: fasc 27–28, ser 7. Washington DC: Armed Forces Institute of Pathology 1959: 32-33
  • 8 Goh BK, Tan YM, Cheow PC. et al . Solid pseudopapillary neoplasms of the pancreas: an updated experience.  J Surg Oncol. 2007;  95 ((8)) 640-644
  • 9 Kang CM, Kim KS, Choi JS. et al . Solid pseudopapillary tumor of the pancreas suggesting malignant potential.  Pancreas. 2006;  32 276-280
  • 10 Lee YR, Kim Y, Koh BH. et al . Solid and papillary epithelial neoplasm of the pancreas with peritoneal metastasis and its recurrence: a case report.  Abdom Imaging. 2003;  28 ((1)) 96-98
  • 11 Martin RCG, Klimstra DS, Brennan MF. et al . Solid pseudopapillary tumor of the pancreas: a surgical enigma?.  Ann Surg Oncol. 2002;  9 ((1)) 35-40
  • 12 Moholkar S, Sebire NJ, Roebuck DJ. Solid pseudopapillary neoplasm of the pancreas: radiological – pathological correlation.  Pediatr Radiol. 2005;  35 ((8)) 819-822
  • 13 Nadler EP, Novikov A, Landzberg BR. et al . The use of endoscopic ultrasound in the diagnosis of solid pseudopapillary tumors of the pancreas in children.  J Pediatr Surg. 2002;  37 ((9)) 1370-1373
  • 14 Ng KH, Tan PH, Thng CH. et al . Solid pseudopapillary tumor of pancreas.  ANZ J Surg. 2003;  73 410-415
  • 15 Papavramidis T, Papavramidis S. Solid pseudopapillary tumors of the pancreas: review of 718 patients reported in the English literature.  J Am Coll Surg. 2005;  200 ((6)) 965-972
  • 16 Salvia R, Bassi C, Festa L. et al . Clinical and biological behavior of pancreatic solid pseudopapillary tumors: report on 31 consecutive patients.  J Surg Oncol. 2007;  95 ((4)) 304-310
  • 17 Seo HE, Lee MK, Lee YD. et al . Solid pseudopapillary tumor of the pancreas.  J Clin Gastroenterol. 2006;  40 ((10)) 919-922
  • 18 Shenker MP, Bennett MW, Ros PR. Solid pseudopapillary tumor of pancreas. http://brighamrad.harvard.edu/cases/bwh/hcache/360/full.html , Accessed 10/26/2007
  • 19 Takahashi Y, Fukusato T, Aita K. et al . Solid pseudopapillary tumor of pancreas with metastases to the lung and liver.  Pathology Internat. 2005;  55 792-796
  • 20 Zhang H, Ting-Bo L, Wei-Lin W. et al . Diagnosis and treatment of solid pseudopapillary tumor of the pancreas.  Hepatobiliary Pancreat Dis Int. 2006;  5 ((3)) 454-458

Correspondence

Dr. I. Ashkenazi

Hillel Yaffe Medical Center

Surgery B Department

POB 169

38100 Hadera

Israel

Telefon: +972/4/630 47 61

Fax: +972/4/630 45 45

eMail: i_ashkenazi@yahoo.com